Two clinical cases of the reconstruction of distal phalanges of hand in children by combination of the regional flap and scrap bone and nailbed graft
- 作者: Alexandrov A.V.1, Goncharuk P.V.1, Evdokimov A.N.1, Idris L.Y.2, Smirnov A.A.1, Khagurov R.A.1, Samorukova N.N.1, Alexandrova N.Y.1
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隶属关系:
- Filatov Moscow Children’s Clinical Hospital
- Russian National Research Medical University
- 期: 卷 10, 编号 3 (2022)
- 页面: 277-284
- 栏目: Clinical cases
- ##submission.dateSubmitted##: 18.05.2022
- ##submission.dateAccepted##: 20.07.2022
- ##submission.datePublished##: 13.09.2022
- URL: https://journals.eco-vector.com/turner/article/view/108022
- DOI: https://doi.org/10.17816/PTORS108022
- ID: 108022
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BACKGROUND: The hand and its distal phalanges, especially in children, are among areas mostly exposed to trauma while contacting the environment. Injuries causing loss of soft tissue and bone component are both challenging and interesting. This report presents the treatment results of children with soft tissue and bone defects of distal phalanges, in which reconstructions including combination of regional flaps, bone, and nailbed grafts were performed.
CLINICAL CASE: This report presents clinical cases of the surgical treatment of 4- and 6-year-old children with fingertip injuries who underwent reconstructions including the combination of regional flaps, bone, and nailbed grafts. A combination of the scrap graft was performed in the first case with antegrade homodigital island flap and in the second case with thenar flap. The results were assessed 6 and 7 months after surgery.
DISCUSSION: The primary aim of the surgical treatment of children with distal phalangeal defects is coverage of those defects. The restoration of the bone component of the defect is recommended to prevent postoperative deformations of the distal phalanges. Fingertip replantation or microsurgical transplantation of vascularized tissue complexes are technically difficult and require thorough care and monitoring of the child’s condition in the postoperative period as all these measures may fail.
CONCLUSIONS: The possibility to combine the scrap bone and nailbed graft with existing reliable surgical methods open new prospects for the successful treatment of fingertip injuries.
全文:
作者简介
Alexander Alexandrov
Filatov Moscow Children’s Clinical Hospital
Email: alexmicrosurg@mail.ru
ORCID iD: 0000-0002-6110-2380
SPIN 代码: 5229-0038
MD, Head of the Department of Reconstructive Microsurgery
俄罗斯联邦, MoscowPavel Goncharuk
Filatov Moscow Children’s Clinical Hospital
编辑信件的主要联系方式.
Email: goncharukpavel@yandex.ru
ORCID iD: 0000-0002-9560-037X
SPIN 代码: 6801-9875
MD, surgeon
俄罗斯联邦, MoscowAlexander Evdokimov
Filatov Moscow Children’s Clinical Hospital
Email: pediatrix@yandex.ru
ORCID iD: 0000-0002-9113-3612
MD, surgeon
俄罗斯联邦, MoscowLamiya Idris
Russian National Research Medical University
Email: idrislamiya@mail.ru
ORCID iD: 0000-0002-4902-7939
MD, PhD student
俄罗斯联邦, MoscowAlexander Smirnov
Filatov Moscow Children’s Clinical Hospital
Email: smirnov_aan@bk.ru
ORCID iD: 0000-0002-7274-8291
MD, surgeon
俄罗斯联邦, MoscowRuslan Khagurov
Filatov Moscow Children’s Clinical Hospital
Email: dr.khagurov@gmail.com
ORCID iD: 0000-0001-7944-8438
MD, surgeon
俄罗斯联邦, MoscowNina Samorukova
Filatov Moscow Children’s Clinical Hospital
Email: ninasolovieva@yandex.ru
MD, surgeon
俄罗斯联邦, MoscowNatalya Alexandrova
Filatov Moscow Children’s Clinical Hospital
Email: docnatali1@yandex.ru
MD, anesthesiologist
俄罗斯联邦, Moscow参考
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